Elevated serotonin 1A receptor binding in borderline personality disorder co-morbid with major depressive episodes appears attributable to major depression alone.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Elevated serotonin 1A receptor binding in borderline personality disorder co-morbid with major depressive episodes appears attributable to major depression alone.
Συγγραφείς: Elizabeth Sublette M; Department of Psychiatry, Columbia University, NY, NY, USA; Molecular Imaging & Neuropathology Area, New York State Psychiatric Institute, NY, NY, USA. Electronic address: elizabeth.sublette@nyspi.columbia.edu., Byrnes A; Department of Psychiatry, Columbia University, NY, NY, USA; Molecular Imaging & Neuropathology Area, New York State Psychiatric Institute, NY, NY, USA., Todd Ogden R; Department of Psychiatry, Columbia University, NY, NY, USA; Molecular Imaging & Neuropathology Area, New York State Psychiatric Institute, NY, NY, USA; Department of Biostatistics, Mailman School of Public Health, Columbia University, NY, NY, USA., Zanderigo F; Department of Psychiatry, Columbia University, NY, NY, USA; Molecular Imaging & Neuropathology Area, New York State Psychiatric Institute, NY, NY, USA., Burke A; Molecular Imaging & Neuropathology Area, New York State Psychiatric Institute, NY, NY, USA., Oquendo MA; Psychiatry Department, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA., Stanley B; Department of Psychiatry, Columbia University, NY, NY, USA; Molecular Imaging & Neuropathology Area, New York State Psychiatric Institute, NY, NY, USA., John Mann J; Department of Psychiatry, Columbia University, NY, NY, USA; Molecular Imaging & Neuropathology Area, New York State Psychiatric Institute, NY, NY, USA; Department of Radiology, Columbia University, NY, NY, USA., Miller JM; Department of Psychiatry, Columbia University, NY, NY, USA; Molecular Imaging & Neuropathology Area, New York State Psychiatric Institute, NY, NY, USA.
Πηγή: Journal of psychiatric research [J Psychiatr Res] 2026 Sep; Vol. 200, pp. 123-129. Date of Electronic Publication: 2026 May 15.
Τύπος έκδοσης: Journal Article; Research Support, Non-U.S. Gov't
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Pergamon Press Country of Publication: England NLM ID: 0376331 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1379 (Electronic) Linking ISSN: 00223956 NLM ISO Abbreviation: J Psychiatr Res Subsets: MEDLINE
Imprint Name(s): Original Publication: Oxford : Pergamon Press
Ιατρικοί όροι (MeSH): Borderline Personality Disorder*/diagnostic imaging , Borderline Personality Disorder*/metabolism , Borderline Personality Disorder*/complications , Borderline Personality Disorder*/epidemiology , Receptor, Serotonin, 5-HT1A*/metabolism , Major Depressive Disorder*/diagnostic imaging , Major Depressive Disorder*/metabolism , Major Depressive Disorder*/complications , Major Depressive Disorder*/epidemiology , Brain*/diagnostic imaging , Brain*/metabolism, Pyridines/pharmacokinetics ; Piperazines/pharmacokinetics ; Bipolar Disorder/diagnostic imaging ; Bipolar Disorder/metabolism ; Bipolar Disorder/complications ; Humans ; Female ; Positron-Emission Tomography ; Male ; Adult ; Young Adult ; Middle Aged ; Comorbidity ; Psychiatric Status Rating Scales
Περίληψη: Borderline personality disorder (BPD) is characterized by interpersonal dysfunction, emotional lability, impulsivity, and risk of self-injurious behaviors, and is frequently comorbid with mood disorders. Several BPD symptoms have been associated with altered serotonin (5-HT) system function. We sought to determine whether 5-HT 1A (5-HT1A) receptor binding measured with [11C]WAY-100635 positron emission tomography (PET) differed in individuals with mood disorders (Major Depressive Disorder or Bipolar Disorder I or II) and comorbid BPD (n = 21), compared to those with mood disorders without comorbid BPD (n = 63) and healthy volunteers (HV; n = 27). In thirteen a priori determined brain regions, the groups differed significantly in binding potential (BPF), with higher relative BPF in the mood disorders group compared to HV (F = 3.64; p = 0.03). Planned post-hoc analyses found that these differences in binding compared to HV were driven by higher binding associated with mood disorder, and not with BPD. There were no effects of impulsivity, aggression, depression severity or suicidal ideation on 5-HT1A receptor binding. The finding that higher 5-HT1A binding appears to be related primarily to the presence of a comorbid mood disorder may explain why treatments that target the 5-HT1A autoreceptor, like selective serotonin uptake inhibitors (SSRIs), are effective for mood disorders but have limited efficacy for BPD.
(Copyright © 2026 Elsevier Ltd. All rights reserved.)
Competing Interests: Declaration of competing interest Dr. Oquendo receives royalties from the Research Foundation for Mental Hygiene for the commercial use of the Columbia Suicide Severity Rating Scale. She serves as an advisor to Mind Medicine (pro bono), and Fundacion Jimenez Diaz. She reviews grants for Alkermes and her family formerly owned stock in Bristol Myers Squibb (sold March 2024). Dr. Mann receives royalites for commercial use of the C-SSRS from the Research Foundation for Mental Hygiene and from Columbia University for the Columbia Pathways App. Dr. Miller has received research support from Evexcia Therapeutics and AbbVie, unrelated to the current work. Dr. Burke receives royalties from the commercial use of the Columbia Suicide Severity Rating Scale. All other authors have no conflicts of interest to disclose.
Grant Information: R01 MH040695 United States MH NIMH NIH HHS; P50 MH062185 United States MH NIMH NIH HHS; K08 MH001997 United States MH NIMH NIH HHS; K08 MH067015 United States MH NIMH NIH HHS; R01 MH048514 United States MH NIMH NIH HHS; K08 MH085061 United States MH NIMH NIH HHS; P50 MH090964 United States MH NIMH NIH HHS
Contributed Indexing: Keywords: 5-HT1A; Bipolar disorder; Borderline personality disorder; Major depressive disorder; PET; Serotonin
Substance Nomenclature: 112692-38-3 (Receptor, Serotonin, 5-HT1A)
0 (Pyridines)
0 (Piperazines)
71IH826FEG (N-(2-(4-(2-methoxyphenyl)-1-piperazinyl)ethyl)-N-(2-pyridinyl)cyclohexanecarboxamide)
Entry Date(s): Date Created: 20260522 Date Completed: 20260612 Latest Revision: 20260812
Update Code: 20260813
PubMed Central ID: PMC13371117
DOI: 10.1016/j.jpsychires.2026.05.028
PMID: 42173043
Βάση Δεδομένων: MEDLINE
Περιγραφή
ISSN:1879-1379
DOI:10.1016/j.jpsychires.2026.05.028